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Q: Elastofibroma dorsi ( No Answer,   2 Comments )
Question  
Subject: Elastofibroma dorsi
Category: Miscellaneous
Asked by: dundoon-ga
List Price: $15.00
Posted: 20 May 2004 15:32 PDT
Expires: 25 May 2004 19:11 PDT
Question ID: 349655
I have an MRI on an 80 year old patient who clinically demonstrates a
nontender mass that protrudes adjacent to the tip of scapula with
abduction of the arm and "disappears" upon returning the arm to the
neutral or adducted position. MRI was performed which demonstrates
features highly suggestive of previous descriptions of elastofibrom.
The patient has no pain, discomfort, clicking ...nothing. Given the
imaging impression do we need to proceed to biopsy to exclude a
sarcoma or is a firm radiologic impression based on CT and MRI
findings + the clinical presentation sufficient to justify clinically
following the patient. Thanks. Dundoon, M.D.
Answer  
There is no answer at this time.

Comments  
Subject: Re: Elastofibroma dorsi
From: library_dude-ga on 20 May 2004 17:17 PDT
 
Please note, Iam not an MD and cannot give medical advice, so I cannot
specifcally answer your question, but attached are results from a
search I conducted on PubMed (http://www.ncbi.nlm.nih.gov/pubmed).

1: Acta Orthop Belg. 1995;61(4):302-4.  Related Articles, Links  


Elastofibroma dorsi: clinical and pathologic aspects of two cases.

Hidalgo Grau LA, Ardevol J, Soler T, Auleda J, Ubach M.

Department of Surgery, Consorci Sanitari de Mataro, Barcelona, Spain.

Elastofibroma dorsi is a benign entity that occurs most often in the
subscapular area in elderly women. It has been a subject of
controversy whether elastofibroma is a true neoplasm or a reactive
fibrous lesion that produces abnormal elastic fibers. A biopsy should
be performed to rule out sarcoma in all cases, but definitive
treatment only requires simple surgical excision. We report two cases
of elastofibroma and discuss the most relevant clinical and pathologic
aspects.

Publication Types: 
Case Reports

PMID: 8571765 [PubMed - indexed for MEDLINE] 

--------------------------------------------------------------------------------


2: Wis Med J. 1991 Jun;90(6):281-4.  Related Articles, Links  


Elastofibroma dorsi: report of two cases and literature review.

Brown GW.

Two cases of elastofibroma dorsi are added to the 125 non-Asian cases
reported in the last 31 years. Rapid growth followed by spontaneous
total regression is reported for the first time. Confirmation of these
observations by others and tissue confirmation are encouraged.
Physician awareness of elastofibromas may reveal a higher incidence of
occurrence and help avoid unnecessarily radical surgery. A
comprehensive review of the literature discloses several current
misconceptions.

Publication Types: 
Case Reports 
Review 
Review, Tutorial 

PMID: 1871994 [PubMed - indexed for MEDLINE] 

--------------------------------------------------------------------------------


3: J Thorac Cardiovasc Surg. 1989 Aug;98(2):234-8.  Related Articles, Links  


Elastofibroma dorsi: benign chest wall tumor.

Marin ML, Perzin KH, Markowitz AM.

Department of Surgery, Columbia Presbyterian Medical Center, New York, N.Y. 10032.

Elastofibroma dorsi was diagnosed in seven patients at the
Columbia-Presbyterian Medical Center between 1976 and 1986. The ages
of the patients ranged from 6 to 79 years (mean 49.3 years). No sex
predominance was seen. Five cases of unilateral subscapular tumor and
two cases of bilateral masses were identified. Four patients had pain
with arm motion, and the remaining patients were free of symptoms. A
nonencapsulated soft tissue mass elevating the scapula was identified
by computed tomography. Incisional biopsy was performed in all cases,
followed by local excision of the tumor. On gross examination, these
lesions were firm and rubbery. Histologic evaluation demonstrated a
slightly hypercellular fibrous tissue that contained variable numbers
of fragmented elastic fibers. All patients with symptomatic tumors had
complete relief of their pain after the operation. No recurrences were
observed. Clinically, elastofibroma may mimic sarcoma and fibromatosis
(extraabdominal desmoid tumors). Whether elastofibroma is a true
neoplasm or a reactive fibrous lesion that produces not only collagen,
but also abnormal elastic fibers, has been the subject of controversy
and remains undetermined.

PMID: 2755156 [PubMed - indexed for MEDLINE] 

--------------------------------------------------------------------------------


4: J Comput Assist Tomogr. 1987 Jul-Aug;11(4):675-7.  Related Articles, Links  


Elastofibroma dorsi: CT demonstration.

Marin ML, Austin JH, Markowitz AM.

Elastofibroma dorsi is a pseudotumorous connective tissue mass that
characteristically arises between the chest wall and the inferior
angle of the scapula. Its long axis is typically craniocaudal. Two
patients are illustrated, each presenting with a fixed subscapular
mass. Computed tomography showed each mass as elongated, incompletely
marginated, and of soft tissue density deep to the inferior angle of a
scapula. The latissimus dorsi and an underlying layer of fat were
posterolaterally elevated inferior to the tip of the scapula. After
incisional biopsy excluded sarcoma, each mass was locally excised.

Publication Types: 
Case Reports

PMID: 3597893 [PubMed - indexed for MEDLINE] 

--------------------------------------------------------------------------------


5: Ann Anat Pathol (Paris). 1975 Nov-Dec;20(5):417-36.  Related Articles, Links  


[Pseudo-tumoral lesions of dense conjuntival tissue. Attempt at
pathogenic interpretation]

[Article in French]

Bonenfani JL, Lagace R.

The histogenesis of pseudotumors of dense connective tissue has been
studied. These lesions may be classified as mucoid (synovial cyst and
periungueal myxoma), collagenous (desmoid tumor, desmoid fibroblastoma
and fibromatosis colli), elastic (elastofibroma dorsi), cellular
(fibroblastic: fibromatosis, fasciitis and myositis; histiocytic:
giant-cell tumor of tendon sheath, fibrous histiocytoma and atypical
fibroxanthoma), metaplastic (ossifying fasciitis, ossifying myositis
and juvenile chondroid fibroma) and hamartomatous nature (fibrous
hamartoma). It must be emphasized that these lesions show a variable
and polymorphouse cellular composition and then can simulate sarcoma.

PMID: 1231571 [PubMed - indexed for MEDLINE] 

--------------------------------------------------------------------------------


6: Am J Surg. 1973 Jun;125(6):713-4.  Related Articles, Links  


Elastofibroma dorsi. An unusual soft tissue tumor simulating sarcoma.

Harry RD, Kruger RL, McLaughlin CW.

Publication Types: 
Case Reports

PMID: 4122826 [PubMed - indexed for MEDLINE]
Subject: Re: Elastofibroma dorsi
From: dundoon-ga on 21 May 2004 12:57 PDT
 
Thanks helpful

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